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Osteitis Pubis

Discussion in 'Biomechanics, Sports and Foot orthoses' started by David Smith, Jan 19, 2011.

  1. David Smith

    David Smith Well-Known Member


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    Hi all

    Had a customer in today, a young male of about 20years old who plays football and rugby, who had been diagnosed with Osteitis Pubis. He had been told a gait analysis / biomechanical assessment would be useful to hep in some way.
    I wasn't sure what to tell him, I could do an assessment and I could point out poor posture, unusual gait, which bits were too stiff, too compliant, misaligned etc but how this might affect the condition and how changing them might improve the condition, I just don't know. Reading up there seems to be little known about aetiology or treatment and rehab - rest and wait and see seems as good as anything. Anyone have any suggestions or experiences of this condition and its treatment?

    Regards Dave Smith
     
  2. Hi Dave I´ve teated a couple, You don´t mention it by LLD is very important when treating these Ive found.


    Rest, ice, Core work, stretching, dealing with biomechanical issues also important but LLD the key in my option, goes against some research but heel lift made significant difference to one that the whole treatment from me to complement the Physio was a heel lift.

    Hope that helps
     
  3. Griff

    Griff Moderator

    Hey Dave,

    I unfortunately have personal experience of this condition - it's what stopped me being able to play football 2 years ago. (It has a lot to answer for - now I get dragged to all sorts of places on a Saturday afternoon by my Mrs)

    Most important underlying biomechanical factor to assess (and address as necessary) in my opinion is the recruitment characteristics and the timing of the hip abductors/gluteii
     
  4. Admin2

    Admin2 Administrator Staff Member

    Osteitis pubis

    Osteitis pubis is a noninfectious inflammation of the pubis symphysis (also known as the pubic symphysis, symphysis pubis, or symphysis pubica), causing varying degrees of lower abdominal and pelvic pain. Osteitis pubis was first described in patients who had undergone suprapubic surgery, and it remains a well-known complication of invasive procedures about the pelvis. It may also occur as an inflammatory process in athletes. The incidence and cause of osteitis pubis as an inflammatory process versus an infectious process continues to fuel debate among physicians when confronted by a patient who presents complaining of abdominal pain or pelvic pain and overlapping symptoms. It was first described in 1924.

     
  5. HansMassage

    HansMassage Active Member

    Dave
    Disregard Descartes, The young man came to you for your trained perception. Give it to him and hope he has the wisdom to act on it appropriately.
    I have seen some pelvic X-ray film of older males that played through the pain that were pretty ugly. Like one ramus higher than the other with ostiophites bridging the gap.

    Hans Albert Quistorff, LMP
    Antalgic Posture Pain Specialist
     
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    Articles:
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    The Effectiveness of Non-Operative Rehabilitation Programs for Athletes Diagnosed With Osteitis Pubis
    Scott Cheatham, Morey J. Kolber, and Kathryn Kumagai Shimamura
    JSR In Press
     

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